Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $112.20 / $239.88	Facility		$43.65	$112.20	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $79.43 / $141.25	Professional		$30.90	$79.43	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $85.11	Professional		$72.44	$72.44	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $51.29 / $58.88	Professional		$9.12	$51.29	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $75.86 / $169.82	Professional		$33.88	$75.86	$169.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $239.88 / $354.81	Facility		$44.67	$239.88	$354.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $112.20 / $165.96	Professional		$33.88	$112.20	$165.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $66.07 / $162.18	Professional		$30.20	$66.07	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $870.96 / $1,737.80	Facility		$234.42	$870.96	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $83.18 / $162.18	Professional		$37.15	$83.18	$162.18